Part II MS Anaesthesiology

53 Pages·2011·0.7 MB·English

CURRICULUM / STATUTES & REGULATIONS
FOR
5 YEARS DEGREE PROGRAMME
IN
ANAESTHESIOLOGY
(MS Anaesthesiology)

UNIVERSITY OF HEALTH SCIENCES,
LAHORE
Curriculum/Statutes & Regulations -MS Anaesthesiology
STATUTES

1. Nomenclature Of The Proposed Course
The name of degree programme shall be MS Anaesthesiology. This name is well
recognized and established for the last many decades worldwide.

2. Course Title:
MS Anaesthesiology

3. Training Centers
Departments of Anaesthesiology (accredited by UHS) in affiliated institutes of
University of Health Sciences Lahore.

4. Duration of Course
The duration of MS Anaesthesiology course shall be five (5) years (first year
in Part I, first two years in Part II and next three years in Part III) with
structured training in a recognized department under the guidance of an
approved supervisor. The course is structured in three parts:

Part I is structured for the 1st calendar year. The candidate shall undertake
didactic training in Basic Medical Sciences, Physics & Equipment, Behavioural
Sciences and Biostatistics & Research Methodology. At the end of first year
the examination shall be held in above mentioned disciplines. The clinical
training in fundamental concepts of Surgery shall start from the 1st day of
enrollment.
Part II is structured for the 1st and 2nd calendar year. The candidate shall
undertake clinical training in fundamental concepts of Surgery. At the end of
2nd year, the examination shall be held in fundamental concepts of Surgery.
The clinical training in Anaesthesiology shall start from 3rd year onwards in
the in recognized institutions.
Part III is structured for 3rd, 4th and 5th calendar years in MS Anaesthesiology.
It has two components; Clinical and Research. The candidate shall undergo
clinical training to achieve educational objectives of MS Anaesthesiology
(knowledge & skills) along with rotation in relevant fields. Over the five years
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Curriculum/Statutes & Regulations -MS Anaesthesiology
duration of the course, candidate will spend total time equivalent to one
calendar year for research during the training. Research can be done as one
block in 5th year of training or it can be done in the form of regular periodic
rotations over five years as long as total research time is equivalent to one
calendar year.

5. Admission Criteria
I. For admission in MS Anaesthesiology course, the candidate shall be
required to have:
• MBBS degree
• Completed one year House Job
• One year experience in Anaesthesiology / General surgery /Allied
surgical discipline in the given order of preference
• Registration with PMDC
• Passed Entry Test conducted by the University & aptitude interview
by the Institute concerned
• Having up to the mark credentials as per UHS rules (no. of
attempts in each professional, any gold medals or distinctions,
relevant work experience, Rural/ Army services, research
experience in a recognized institution, any research article
published in a National or International Journal) may also be
considered on case to case basis.

II. Exemptions: A candidate holding FCPS/MRCS/Diplomate/equivalent
qualification in General Surgery shall be exempted from Part-I & Part-II
Examinations and shall be directly admitted to Part-III Examinations,
subject to fulfillment of requirements for the examination.

6. Registration And Enrollment

• Total number of students enrolled for the course must not exceed 2 per
supervisor/year.
• The maximum number of trainees that can be attached with a supervisor at
a given point of time (inclusive of trainees in all years/phases of MS
training), must not exceed 6.
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Curriculum/Statutes & Regulations -MS Anaesthesiology
• Beds to trainee ratio at the approved teaching site shall be at least 5 beds
per trainee.
• The University will approve supervisors for MS courses.
• Candidates selected for the courses after their enrollment at the relevant
institutions shall be registered with UHS as per prescribed Registration
Regulation.

7. Accreditation Related Issues of The Institution

A. Faculty
Properly qualified teaching staff in accordance with the requirements of
Pakistan Medical and Dental Council (PMDC)

B. Adequate Space
Including class-rooms (with audiovisual aids), demonstration rooms, computer
lab and clinical pathology lab etc.

C. Library
Departmental library should have latest editions of recommended books,
reference books and latest journals (National and International).

(cid:131) Accreditation of Anaesthesiology training program can be suspended on
temporary or permanent basis by the University, if the program does not
comply with requirements for residents training as laid out in this curriculum.
(cid:131) Program should be presented to the University along with a plan for
implementation of curriculum for training of residents.
(cid:131) Programs should have documentation of residents training activities and
evaluation on monthly basis.
(cid:131) To ensure a uniform and standardized quality of training and availability of
the training facilities, the University reserves the right to make surprise
visits of the training program for monitoring purposes and may take
appropriate action if deemed necessary.

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Curriculum/Statutes & Regulations -MS Anaesthesiology
AIMS AND OBJECTIVES OF THE COURSE

AIM

The aim of five years MS programme in Anaesthesiology is to train residents
to acquire the competency of a specialist in the field so that they can
become good teachers, researchers and clinicians in their specialty after
completion of their training.

GENERAL OBJECTIVES
MS Anaesthesiology training should enable a student to:

1. Access and apply relevant knowledge to clinical practice:
(cid:131) Maintain currency of knowledge
(cid:131) Apply scientific knowledge in practice
(cid:131) Appropriate to patient need and context
(cid:131) Critically evaluate new technology
2. Safely and effectively performs appropriate surgical procedures:
(cid:131) Consistently demonstrate sound surgical skills
(cid:131) Demonstrate procedural knowledge and technical skill at a level
appropriate to the level of training
(cid:131) Demonstrate manual dexterity required to carry out procedures
(cid:131) Adapt their skills in the context of each patient and procedure
(cid:131) Maintain and acquire new skills
(cid:131) Approach and carries out procedures with due attention to safety
of patient, self and others
(cid:131) Critically analyze their own clinical performance for continuous
improvement
3. Design and implement effective management plans:
(cid:131) Recognize the clinical features, accurately diagnose and manage
anaesthesia related problems
(cid:131) Formulate a well-reasoned provisional diagnosis and management
plan based on a thorough history and examination
(cid:131) Formulate a differential diagnosis based on investigative findings

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Curriculum/Statutes & Regulations -MS Anaesthesiology
(cid:131) Manage patients in ways that demonstrate sensitivity to their
physical, social, cultural and psychological needs
(cid:131) Recognize disorders of the human body and differentiate those
amenable to surgical treatment
(cid:131) Effectively manage the care of patients with trauma including
multiple system trauma
(cid:131) Effectively recognize and manage complications
(cid:131) Accurately identify the benefits, risks and mechanisms of action of
current and evolving treatment modalities
(cid:131) Indicate alternatives in the process of interpreting investigations
and in decision-making
(cid:131) Manage complexity and uncertainty
(cid:131) Consider all issues relevant to the patient
(cid:131) Identify risk
(cid:131) Assess and implement a risk management plan
(cid:131) Critically evaluate and integrate new technologies and techniques.
4. Organize diagnostic testing, imaging and consultation as needed:
(cid:131) Select medically appropriate investigative tools and monitoring
techniques in a cost-effective and useful manner
(cid:131) Appraise and interpret appropriate diagnostic imaging and
investigations according to patients' needs
(cid:131) Critically evaluates the advantages and disadvantages of different
investigative modalities
5. Communicate effectively:
(cid:131) Communicate appropriate information to patients (and their
family) about procedures, potentialities and risks associated with
different anaesthesias in ways that encourage their participation
in informed decision making
(cid:131) Communicate with the patient (and their family) the treatment
options including benefits and risks of each
(cid:131) Communicate with and co-ordinate health management teams to
achieve an optimal surgical environment
(cid:131) Initiate the resolution of misunderstandings or disputes

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Curriculum/Statutes & Regulations -MS Anaesthesiology
(cid:131) Modify communication to accommodate cultural and linguistic
sensitivities of the patient
6. Recognize the value of knowledge and research and its application to clinical
practice:
(cid:131) Assume responsibility for self-directed learning
(cid:131) Critically appraise new trends in Anaesthesiology
(cid:131) Facilitate the learning of others.
7. Appreciate ethical issues associated with Anaesthesiology:
(cid:131) Consistently apply ethical principles
(cid:131) Identify ethical expectations that impact on medico-legal issues
(cid:131) Recognize the current legal aspects of informed consent and
confidentiality
(cid:131) Be accountable for the management of their patients.
8. Professionalism by:
(cid:131) Employing a critically reflective approach to Anaesthesiology
(cid:131) Adhering with current regulations concerning workplace harassment
(cid:131) Regularly carrying out self and peer reviewed audit
(cid:131) Acknowledging and have insight into their own limitations
(cid:131) Acknowledging and learning from mistakes
9. Work in collaboration with members of an interdisciplinary team where
appropriate:
(cid:131) Collaborate with other professionals in the selection and use of
various types of treatments assessing and weighing the indications
and contraindications associated with each type
(cid:131) Develop a care plan for a patient in collaboration with members of an
interdisciplinary team
(cid:131) Employ a consultative approach with colleagues and other
professionals
(cid:131) Recognize the need to refer patients to other professionals.
10. Management and Leadership
(cid:131) Effective use of resources to balance patient care and system resources
(cid:131) Identify and differentiate between system resources and patient needs

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Curriculum/Statutes & Regulations -MS Anaesthesiology
(cid:131) Prioritize needs and demands dealing with limited system resources.
(cid:131) Manage and lead clinical teams
(cid:131) Recognize the importance of different types of expertise which
contribute to the effective functioning of clinical team.
(cid:131) Maintain clinically relevant and accurate contemporaneous records
11. Health advocacy:
(cid:131) Promote health maintenance of patients
(cid:131) Advocate for appropriate health resource allocation
(cid:131) Promote health maintenance of colleagues and self scholar and
teacher

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Curriculum/Statutes & Regulations -MS Anaesthesiology
SPECIFIC LEARNING OUTCOMES

On completion of the training programme, Anaesthesiology trainees pursuing an
academic pathway will be expected to have demonstrated competence in all
aspects of the published syllabus. The specific training component would be
targeted for establishing clearly defined standards of knowledge and skills required
to practice Anaesthesiology at secondary and tertiary care level with proficiency in
the Basic and applied clinical sciences, Basic anaesthesiological care, intensive
care units, Emergency (A&E) medicine and Complementary surgical disciplines.
Anaesthetic equipment and safety
(cid:131) Physical principles underlying the function of the anaesthetic
machine, pressure regulators, flow meters, vaporizers, breathing
systems.
(cid:131) Absorption of carbon dioxide
(cid:131) Principles of lung ventilators, disconnection monitors
(cid:131) Manufacture and storage of oxygen, nitrous oxide, carbon dioxide,
compressed air.
(cid:131) Pipeline and suction systems, gas cylinders
(cid:131) Humidification devices
(cid:131) Minimum monitoring requirements
(cid:131) Environmental control of the operating theatre including scavenging
systems for waste anaesthetic gases and vapours
(cid:131) Pre-use checks of anaesthetic machine, breathing systems and
monitoring apparatus
(cid:131) Anaesthetic records and critical incidents
(cid:131) Function and use of related anaesthetic and resuscitation equipment
including that used for regional anaesthesia ; Airways, tracheal
tubes, tracheostomy tubes, laryngeal masks, oxygen therapy
equipment, self-inflating bags, spinal and epidural needles,
intravenous cannulae and transfusion devices
(cid:131) Sterilization and cleaning of equipment

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Curriculum/Statutes & Regulations -MS Anaesthesiology
Preoperative assessment
(cid:131) Implications for anaesthesia of more common medical conditions. In
particular, respiratory diseases (e.g. asthma, chronic obstructive
airway disease), cardiac disease (e.g. angina pectoris, valvular
disease, myocardial infarction, pacemakers, arrhythmias), vascular
disease (e.g. hypertension), sickle cell disease and anaemias,
rheumatoid arthritis, renal dysfunction and insufficiency, plasma
electrolyte disturbance (e.g. hyper- and hypokalaemia), diabetes
mellitus, liver disease
(cid:131) Implications for anaesthesia of more common surgical conditions,
trauma, intestinal obstruction and acute abdominal emergencies
(cid:131) ASA classification and other pre-anaesthetic scoring systems such as
Glasgow Coma Scale
(cid:131) Interpretation of relevant preoperative investigations, plasma
electrolytes, haematology, disturbances of acid/base status, ECG, X-
rays, pulmonary function tests and clotting abnormalities
(cid:131) Preoperative assessment of a patient of any age (excluding
neonates) for elective or emergency surgery
(cid:131) Restriction of food and fluid by mouth, cessation of smoking,
correction of dehydration
(cid:131) Assessment of difficulty of tracheal intubation
(cid:131) Precautions in the management of the infective patient (e.g. hepatitis
sero- positive or HIV positive)
(cid:131) Anaesthetic implications of current drug therapy such as beta
blockers, antihypertensive drugs, tricyclic antidepressant agents and
monoamine oxidase inhibitors, insulin, anti-diabetic drugs,
anticoagulants, contraceptives
(cid:131) Assessment of postoperative analgesic needs
Premedication
(cid:131) Rationale for premedicant drugs.
(cid:131) Choice of drugs, advantages and disadvantages
(cid:131) Induction
(cid:131) Intravenous and inhalational induction of anaesthesia; advantages
and disadvantages; techniques
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